OrganizationActive
Broadway Smiles
NPI 1275999872 · Dental Clinic/Center · Idaho Falls, ID
Broadway Smiles is a Dental Clinic/Center organization in Idaho Falls, ID (NPI 1275999872).
Provider details
- NPI number
- 1275999872
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nataly Penuelas, Office Manager(208) 680-0186
- License
- D-4109 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
505 1st St Ste B
Idaho Falls, ID 83401-3929
Phone: (208) 529-1903
Fax: (208) 529-1925
Approximate (ZIP-level) locationGet directions
Mailing address
505 1st St Ste B
Idaho Falls, ID 83401-3929
Other names (DBA / former)
- Doing business as
- Signature Smiles
Registry dates
- Enumerated
- 2016-01-12
- Last updated
- 2016-01-12
Frequently asked questions
- What is Broadway Smiles's NPI number?
- Broadway Smiles's National Provider Identifier (NPI) is 1275999872, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadway Smiles?
- Broadway Smiles is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Broadway Smiles located?
- Broadway Smiles's practice location on file with NPPES is 505 1st St Ste B, Idaho Falls, ID 83401-3929.
- What is Broadway Smiles's phone number?
- The practice phone number listed in the NPPES registry for Broadway Smiles is (208) 529-1903.
- Who is the authorized official for Broadway Smiles?
- The authorized official listed on Broadway Smiles's NPPES record is Nataly Penuelas, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadway Smiles's NPI active?
- Yes — Broadway Smiles's NPI (1275999872) is active in the NPPES registry as of the last update on 2016-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.